…of Medical Assistants preferred.Current CPR certification.Knowledge of ICD9, CPT and HCPCS coding and managed care contracts is desirable. Work Type: Full Time

…and billing issues.ESSENTIAL DUTIES & RESPONSIBILITIES FOR POSITION:Secures authorizations for all managed care cases in a timely & thorough manner to

…fast-paced environment Preferred Qualifications: * 1+ years of Outpatient Clinic experience * Managed Care / IPA / Health Plan experience Careers with OptumCare.

…resource management.* Maintains knowledge and understanding of CMS regulations, Medicare/Medicaid, managed care and other payer regulations and benefit limits.*

…concerns. Position DetailsFull-TimeGreat Work-Life Balance- Monday-Friday schedule *Self- managed *Integrated Care Team approach- Patient

…the primary vehicle for delivering care management as the state transitions to Medicaid managed care and includes Tier 1, Tier 2 and Tier 3 providers. The

…Medicaid services and an additional 3+ years of work experience in managed care Clinical experience with Medicaid/Medicare populations Demonstrated track record

…the most appropriate assessment reference date (ARD) is utilized for Medicare/ Managed Care Assessments. Tracks Skilled (MRA/MCO/MCG/MMP) customers utilizing Case

…in.Required Qualifications:Ten or more years of management-level utilization management experience in managed care with health plans required, including five or

…knowledge of additional payer types including but not limited to insurance carriers, managed care organizations and affordable care organizations. *